CN112972635B

CN112972635B - A Chinese medicinal composition for treating chronic kidney diseases and chronic renal failure

Info

Publication number: CN112972635B
Application number: CN202110306164.7A
Authority: CN
Inventors: 张传富; 叶景华; 路建饶
Original assignee: Shanghai Seventh Peoples Hospital
Current assignee: Shanghai Seventh Peoples Hospital
Priority date: 2021-03-23
Filing date: 2021-03-23
Publication date: 2022-04-29
Anticipated expiration: 2041-03-23
Also published as: CN112972635A

Abstract

The invention provides a traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure, which consists of prepared rhubarb, caragana sinica root, centella asiatica, curcuma zedoary, salvia miltiorrhiza, glabrous greenbrier rhizome, safflower, giant knotweed rhizome, pyrola, lucid ganoderma, astragalus and bitter orange. The prepared rhubarb has the functions of promoting blood circulation, removing toxin and purging turbidity, the Chinese peashrub root has the functions of dispelling wind, removing toxin and reducing urine protein, the centella asiatica has the functions of dispelling wind, removing toxin and reducing creatinine, the zedoary has the functions of breaking blood, promoting qi circulation and resisting fibrosis, the salvia miltiorrhiza and the safflower have the functions of promoting blood circulation and removing blood stasis, the glabrous greenbrier rhizome has the functions of clearing heat, removing toxin and eliminating dampness, the giant knotweed has the functions of dispelling wind, removing toxin and reducing uric acid, the pyrola has the functions of tonifying kidney and clearing away heat, the lucid ganoderma and the astragalus membranaceus have the functions of tonifying qi and strengthening the body resistance, and the bitter orange has the functions of soothing the liver and regulating qi. The Chinese medicinal composition can effectively reduce albuminuria and hematuria of patients with chronic renal disease, relieve the progress of chronic renal failure and renal function, reduce blood creatinine, improve clinical symptoms of chronic renal disease, especially patients with chronic renal failure, and protect renal function.

Description

A Chinese medicinal composition for treating chronic kidney diseases and chronic renal failure

Technical Field

The invention belongs to the technical field of traditional Chinese medicines, and particularly relates to a traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure.

Background

Chronic Kidney Disease (CKD) is a group of clinical syndromes that can be caused by various diseases, and in recent years, its incidence and cost have been increasing year by year, and a new chronic disease that endangers life has been developed. Chronic renal failure refers to the decline of glomerular filtration function and various complications caused by the decline, and the development of chronic renal failure to end-stage renal disease (ESRD) can only be supported by alternative treatment (blood, peritoneal dialysis and kidney transplantation), but because of the limitation of cost, technology, traumatism and other factors, the chronic renal failure is difficult to popularize in China at present, and even if a patient is treated by kidney alternative treatment, the patient can be threatened by a plurality of serious complications.

Modern research suggests that renal function impairment is a complex process, the underlying mechanisms of which include immune injury, inflammatory response, oxidative stress, coagulation and fibrinolysis abnormalities, lipid abnormalities, fibrosis development, and the like. In terms of treatment, modern medicine mainly adopts treatments of diet control, blood pressure control, lipid reduction, urine protein reduction, anemia and acid-base balance correction, electrolyte disorder improvement and the like for treating early and medium renal insufficiency (CKD 3-4), but the effect is poor.

Disclosure of Invention

The invention aims to solve the technical problem of providing a traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure, wherein rhubarb is prepared from rhubarb for promoting blood circulation, removing toxin and purging turbidity, Chinese peashrub root for dispelling wind, removing toxin and reducing urine protein, centella asiatica for dispelling wind, removing toxin and reducing creatinine, curcuma zedoary for breaking blood, promoting qi circulation and resisting fibrosis, salvia miltiorrhiza and safflower for promoting blood circulation and removing blood stasis, glabrous greenbrier rhizome for clearing heat, removing toxin and eliminating dampness, giant knotweed for dispelling wind, removing toxin and reducing uric acid, pyrola for tonifying the kidney and clearing the heat, lucid ganoderma and astragalus for tonifying qi and strengthening the body resistance, and bitter orange for soothing the liver and regulating the flow of qi.

In order to solve the technical problems, the invention adopts the technical scheme that: a traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure is composed of the following raw materials in parts by weight: prepared rhubarb 6-15 parts, caragana sinica root 20-40 parts, centella 20-40 parts, zedoary 10-20 parts, root of red rooted saliva 30-35 parts, poria cocos wolf 20-40 parts, safflower 2-10 parts, giant knotweed rhizome 25-35 parts, pyrola 20-40 parts, glossy ganoderma 25-35 parts, astragalus root 20-38 parts and bitter orange 6-15 parts.

Preferably, the feed consists of the following raw materials in parts by weight: 8 to 12 portions of prepared rhubarb, 25 to 35 portions of caragana sinica rehd, 25 to 35 portions of centella asiatica, 12 to 18 portions of zedoary, 28 to 32 portions of salvia miltiorrhiza, 25 to 35 portions of glabrous greenbrier rhizome, 4 to 8 portions of safflower, 28 to 33 portions of giant knotweed, 26 to 35 portions of pyrola, 26 to 33 portions of lucid ganoderma, 25 to 35 portions of astragalus and 8 to 12 portions of bitter orange.

Preferably, the feed consists of the following raw materials in parts by weight: 10 parts of prepared rhubarb, 30 parts of sparrow root, 30 parts of centella, 15 parts of zedoary, 30 parts of salvia miltiorrhiza, 30 parts of glabrous greenbrier rhizome, 6 parts of safflower, 30 parts of giant knotweed, 30 parts of pyrola, 30 parts of lucid ganoderma, 30 parts of astragalus and 10 parts of bitter orange.

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure can be prepared into clinically common preparations, including decoction, injection, capsules, tablets, granules, dripping pills, oral liquid and other formulations.

Radix et rhizoma Rhei preparata has effects of clearing heat and purging fire, cooling blood, removing blood stasis, and removing toxic substance. Can increase the protein decomposition of the body, effectively remove uric acid and play a role in inducing diuresis and reducing edema. Improving microcirculation, protecting liver, removing liver heat, and improving eyesight. Regulating immunity, and enhancing endocrine function. Has effects of removing blood stasis, stopping bleeding, and treating gingival swelling, female hypomenorrhea, menostaxis, menstrual pain, and menstrual black blood etc. Can promote gastrointestinal peristalsis and remove in vivo waste and toxin.

The Chinese medicine is prepared from Chinese medicinal materials of Chinese cymbidium root, sparrow root, astragalus root, poria, lycium berry, astragalus root, Chinese angelica root, poria, astragalus root, poria, lycium berry, licorice, Chinese angelica root, poria cocos, astragalus root, poria, lycium berry, astragalus root, poria, lycium berry, poria, lycium barbarum, astragalus root, Chinese angelica and Chinese angelica, and the like.

Centella asiatica, a traditional Chinese medicine name, is the dried whole plant of centella asiatica of Umbelliferae. Bitter, pungent and cold. Has the effects of clearing heat, promoting diuresis, removing toxic substances and relieving swelling, and is commonly used for damp-heat jaundice, heatstroke diarrhea, urolithic stranguria and bloody stranguria, carbuncle swelling, sore and toxin, and traumatic injury. The long-term application experience indicates that the effect of the centella asiatica on treating the chronic renal failure is better.

Zedoary, bitter and pungent in flavor, warm in nature, and non-toxic. Enter liver and spleen meridians and blood system. Specially break blood in qi, remove weakness, relieve heart pain, dredge menstruation, eliminate blood stasis, treat cholera, purge accumulation and regulate qi. Herbs that attack hard masses can be used as assistant and guide, but they are not suitable for long-term use. It is specially used in qi system to break blood, but it does not damage qi. Chemical components: the rhizome contains volatile oil, and the oil contains curcumenone, epicurcumenone, curcumene, curcumenone, curcumenol, Camphora, and Borneolum.

Smilax glabra, sweet and light in flavor, neutral in nature. Has the effects of removing toxic substances, eliminating dampness, and relieving joint pain, and is mainly used for treating limb spasm and arthralgia and myalgia caused by syphilis and mercury poisoning; stranguria with turbid damp-heat, leukorrhagia, abscess, scrofula, scabies and tinea. Has good effect on damp-heat stasis of renal failure.

The salvia miltiorrhiza has the effects of promoting blood circulation, dissipating blood stasis, relieving swelling and bleeding, diminishing inflammation, relieving pain, regulating menstruation, dilating coronary artery, improving myocardial ischemia, reducing blood pressure, calming nerves, calming heart, reducing blood sugar, resisting bacteria and the like, improving the filtration rate of glomeruli, promoting the excretion of blood creatinine, urea nitrogen and phosphorus in the kidney, resisting kidney fibrosis and the like.

Safflower, warm in nature, pungent in flavor, promotes blood circulation to remove meridian obstruction, removes blood stasis and relieves pain. Can be used for treating amenorrhea, dysmenorrhea, lochiorrhea, abdominal mass, and traumatic injury. Has strong effects of promoting blood circulation, removing blood stasis, and resisting fibrosis.

Hu Zhang is slightly bitter in taste and cold in nature, and enters liver, gallbladder and lung meridians. Has effects of promoting diuresis, eliminating jaundice, clearing heat, removing toxic substance, removing blood stasis, relieving pain, relieving cough, and eliminating phlegm. Can be used for treating jaundice due to damp-heat pathogen, stranguria with turbid discharge, leukorrhagia, rheumatalgia, carbuncle, swelling, sore, scald due to water and fire, amenorrhea, abdominal mass, contusion injury, and cough due to lung heat.

Pyrolae, warm in nature, sweet and bitter in taste. It enters lung, stomach, liver and kidney meridians. Has the functions of tonifying deficiency and kidney, dispelling wind and eliminating dampness, promoting blood circulation and regulating menstruation, relieving cough and stopping bleeding. Can be used for treating lumbago due to kidney deficiency, rheumatalgia, flaccidity of bones and muscles, hematemesis, epistaxis, metrorrhagia, and traumatic hemorrhage.

Ganoderma lucidum polysaccharide has effects of regulating immunity, reducing blood sugar, reducing blood lipid, resisting oxidation, resisting aging and resisting tumor; the triterpenes can purify blood and protect liver function; the Ganoderma preparation has tranquilizing, anticonvulsive, heart tonifying, arrhythmia relieving, blood pressure lowering, cough relieving, and asthma relieving effects; in addition, Ganoderma has anticoagulant, platelet aggregation inhibiting and antiallergic effects.

Radix astragali contains choline, coumarin, folic acid, amino acids, betaine, saponin, saccharide, protein, riboflavin, flavan compound, ferrum, calcium, phosphorus, and trace elements such as selenium, zinc, copper, and manganese. Sweet taste and mild nature, has the effects of invigorating qi, consolidating exterior, promoting urination, tonifying heart, lowering blood pressure, resisting bacteria, expelling toxin, expelling pus, promoting granulation, enhancing capillary resistance, arresting sweating and sex hormone, and can be used for treating exterior deficiency, spontaneous perspiration, internal injury due to qi deficiency, spleen deficiency, diarrhea, edema, carbuncle, cellulitis, etc. The astragalus membranaceus can prevent hepatic glucose reduction, protect the liver, promote the increase of white blood cells in human blood, resist the reduction of the white blood cells in the human body caused by chemical substances, radiation or other reasons, and obviously improve the phagocytic function of a mononuclear macrophage system and the white blood cells. But the most important of Huang Qi is still tonifying middle-jiao and Qi, inducing diuresis to alleviate edema, and is most suitable for puffiness and puffiness.

Fructus Aurantii, a traditional Chinese medicine name, is dried immature fruit of Citrus aurantium L. Harvesting when 7 months of pericarp is green, transversely cutting into two halves from the middle part, and drying in the sun or at low temperature. Has the effects of regulating qi, relieving epigastric distention, activating stagnancy and relieving flatulence. It is commonly indicated for qi stagnation in chest and hypochondrium, fullness and pain, indigestion, phlegm-fluid retention, and prolapse of viscera.

Compared with the prior art, the invention has the following advantages:

1. the Chinese pyrola herbs for tonifying the kidney and clearing the heat, the prepared rhubarb for promoting blood circulation, removing toxin and purging turbid urine and the centella asiatica for dispelling wind, removing toxin and reducing creatinine are monarch drugs; radix Caraganae Sinicae wind-dispelling, detoxicating and urine protein reducing, rhizoma Curcumae for removing blood stasis, promoting qi circulation and resisting fibrosis, radix Salviae Miltiorrhizae, flos Carthami for promoting blood circulation and removing blood stasis, rhizoma Smilacis Glabrae for clearing away heat and toxic materials and eliminating dampness, and Ganoderma and radix astragali for invigorating qi and strengthening body resistance as ministerial drugs; rhizoma Polygoni Cuspidati has effects of dispelling pathogenic wind, removing toxic substance, reducing uric acid, and fructus Aurantii has effects of dispersing stagnated liver qi. The invention has the effects of tonifying the kidney, discharging turbidity, promoting blood circulation, removing toxin, reducing creatinine, reducing urine protein and the like by the mutual coordination of monarch and minister medicines, and protecting the kidney function.

2. The traditional Chinese medicine composition disclosed by the invention has the advantages of obvious clinical effect, relatively quick and relatively good renal function protection, creatinine reduction, relatively few side effects, no special discomfort after taking, tolerance of patients, relatively good compliance and low price.

The present invention will be described in further detail with reference to examples.

Detailed Description

Example 1

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure of the embodiment is prepared from the following raw materials in parts by weight: 10 parts of prepared rhubarb, 30 parts of sparrow root, 30 parts of centella, 15 parts of zedoary, 30 parts of salvia miltiorrhiza, 30 parts of glabrous greenbrier rhizome, 6 parts of safflower, 30 parts of giant knotweed, 30 parts of pyrola, 30 parts of lucid ganoderma, 30 parts of astragalus and 10 parts of bitter orange.

Luodi, female, age 67, date of first visit: year 2019, month 3 and day 9.

The current medical history: the patient is detected to have the blood creatinine rise to 121 mu mol/L in 10 years of precursor examination, the reason is not further examined and is clearly shown, and plain is only treated by oral renal failure, and foam urine and naked eye hematuria are denied. Increased nocturia occurs in the last year, 2-3 times per day, then the patient goes to the outpatient service of the hospital, and the renal function is reviewed: 186 mu mol/L of blood creatinine, 11.2mmol/L of urea nitrogen and 394 mu mol/L of uric acid, and the symptom is slightly improved by taking Bailing capsules for treatment. Patients become more debilitated after nearly 1 week of fatigue, and regional hospitals review renal function manifestations: blood creatinine 342. mu. mol/L, urea nitrogen 12.7mmol/L, urine routine suggested: protein +, erythrocyte 2-5/HP, and then the doctor visits the doctor. At present, patients have hypodynamia, dry mouth, mild and appropriate stomach, 3 times of nocturia, normal urine volume, well-regulated stool, no swelling of both lower limbs, no percussion pain in the kidney area, red tongue with little coating and thready pulse.

Traditional Chinese medicine syndrome differentiation: spleen and kidney deficiency, dampness, turbidity, blood stasis and toxin obstruction.

Therapeutic principle: remove blood stasis, promote diuresis, remove toxicity, tonify kidney, invigorate spleen and replenish qi.

The decoction prepared from the traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure in the embodiment has the dosage ratio of the traditional Chinese medicine composition to water of 1g to 5mL, is taken by decocting with water once a day, and is taken twice in the morning and at night.

And B, diagnosis: in 2019, 23 months 3, the mouth is still dry, the fatigue is slightly relieved, the tongue and the pulse are the same, and the renal function is rechecked: blood creatinine 327. mu. mol/L, urea nitrogen 11.5 mmol/L. The front is continued for 2 weeks.

Three diagnoses: in 2019, 4 and 6 months, all symptoms are improved, and renal function signs are reviewed: 264 mu mol/L of blood creatinine and 9.8mmol/L of urea nitrogen. Go forward for another 2 weeks.

Four diagnosis: in 2019, 20 days in 4 months, all symptoms are improved, the tongue is pale, the coating is thin, and the pulse is wiry. Review renal function: 104 mu mol/L of blood creatinine and 4.8mmol/L of urea nitrogen.

According to the language: the patient has long renal insufficiency, is not regularly taken for many years, has indefinite etiology, so creatinine is gradually increased, the pathogenesis of the disease mainly comprises spleen and kidney deficiency and blood stasis, toxin and phlegm dampness stagnation, the patient has rapid change of the blood creatinine after recent fatigue, the symptoms are gradually stabilized after treatment by tonifying kidney and qi, removing blood stasis, promoting diuresis and detoxifying, the treatment method is proper, and the patient advices to avoid fatigue and prevent infection so as to avoid rapid deterioration of the renal function.

In the embodiment, the Chinese pyrola herbs for tonifying the kidney and clearing the heat, the prepared rhubarb for activating blood circulation, detoxifying and purging turbid urine and the centella asiatica for dispelling wind, detoxifying and reducing creatinine are monarch drugs; radix Caraganae Sinicae wind-dispelling, detoxicating and urine protein reducing, rhizoma Curcumae for removing blood stasis, promoting qi circulation and resisting fibrosis, radix Salviae Miltiorrhizae, flos Carthami for promoting blood circulation and removing blood stasis, rhizoma Smilacis Glabrae for clearing away heat and toxic materials and eliminating dampness, and Ganoderma and radix astragali for invigorating qi and strengthening body resistance as ministerial drugs; rhizoma Polygoni Cuspidati has effects of dispelling pathogenic wind, removing toxic substance, reducing uric acid, and fructus Aurantii has effects of dispersing stagnated liver qi. The traditional Chinese medicine composition has the effects of tonifying the kidney, discharging turbidity, promoting blood circulation, removing toxic materials, reducing creatinine, reducing urine protein and the like through mutual coordination of monarch and minister medicines, and can protect the kidney function.

Example 2

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure of the embodiment is prepared from the following raw materials in parts by weight: 8 parts of prepared rhubarb, 35 parts of caragana sinica rehd, 25 parts of centella asiatica, 12 parts of curcuma zedoary, 32 parts of glabrous greenbrier rhizome, 25 parts of safflower, 28 parts of giant knotweed rhizome, 35 parts of pyrola, 26 parts of lucid ganoderma, 25 parts of astragalus root and 12 parts of bitter orange.

Song Dynasty, male, age 40. Initial diagnosis time: 23/3/2018

The main complaints are: turbid urine, elevated creatinine for 1 week.

The current medical history: the patients suffered from proteinuria 7 years ago and developed hematuria 2 years ago, and the symptoms are improved after symptomatic treatment. The patient has a history of hypertension for 10 years, and Pingsu uses hypotensor to control blood pressure, so that the control condition is good. The patients had edema of lower limbs and turbid urine one week before, and were subjected to routine urinalysis in low-end hospitals: 640 mu mol/L uric acid, urine protein (++), red blood cells (+), 3.0g urine protein for 24h and 214 mu mol/L blood creatinine. After intravenous drip in hospital, edema of lower limbs is resolved, and proteinuria and hematuria are not obviously improved, so the doctor can see the disease. At present, the patients have sallow complexion, nausea and nausea in the morning, dry mouth, appropriate abdominal region, soreness and pain in the waist, edema of lower limbs, cramps at the legs at night, painful heel and defecate for 2-3 times per day. A pale tongue with thin and yellow coating and a thready and wiry pulse.

Traditional Chinese medicine syndrome differentiation: spleen and kidney deficiency with prolonged illness, turbid dampness and blood stasis

Therapeutic method: treating both deficiency and excess symptoms primarily treats the symptoms, clears and harmonizes the stomach, purges turbidity and removes stasis.

Prescription: the decoction prepared from the traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure in the embodiment has the dosage ratio of the traditional Chinese medicine composition to water of 1g to 5mL, is taken by decocting with water once a day, and is taken twice in the morning and at night.

And B, diagnosis: in 2018, 4 and 6 days, nausea improved, soreness of waist relieved, leg cramps disappeared, insomnia was relieved, urine volume was clear, stool was clear, tongue and pulse were the same, and renal function was reviewed: 147 mu mol/L of blood creatinine and 5.5mmol/L of urea nitrogen. The front is continued for 2 weeks.

Three diagnoses: in 2019, 4 months and 20 days, all symptoms are improved, and renal function indications are reviewed: 94 mu mol/L of blood creatinine and 5.8mmol/L of urea nitrogen.

Example 3

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure of the embodiment is prepared from the following raw materials in parts by weight: 12 parts of prepared rhubarb, 25 parts of sparrow root, 35 parts of centella, 18 parts of zedoary, 28 parts of salvia miltiorrhiza, 35 parts of glabrous greenbrier rhizome, 4 parts of safflower, 33 parts of giant knotweed, 26 parts of pyrola, 33 parts of lucid ganoderma, 35 parts of astragalus root and 8 parts of bitter orange.

Dong some, woman, age 40. Initial diagnosis date: 2012, 5 and 18 days

The main complaints are: creatinine was continuously elevated for 1 month.

The current medical history: the patient suffered from glomerulosclerosis in 2006, and examined for creatinine 414 mu mol/L in the precursor of 1 month, and then the patient is diagnosed. The patients showed in 2006 that the patients had proteinuria and were subjected to puncture examination in the relevant hospitals: glomerulonephritis, focal segmental sclerosis. The condition of the disease is improved after symptomatic treatment, and the damage condition of the kidney function is stable. Patients were examined in 2016, renal function: uric acid 397 mu mmol/L and creatinine 192 mu mol/L. The patient has haggard and haggard emotion, dark yellow complexion, poor nutrition, low voice, less urine amount, 800 mL/day of 500, no swelling of lower limbs, dry mouth, normal stool, poor appetite, good night sleep, soreness and discomfort at the sacral 1 part of the waist 5, wiry, thready and rapid pulse, purple tongue and greasy tongue coating. BP: 100/85 mmHg.

Traditional Chinese medicine syndrome differentiation: qi and yin deficiency with turbid-dampness and blood stasis

Therapeutic method: replenishing qi, nourishing yin, eliminating dampness and removing blood stasis

And B, diagnosis: 6 months and 1 day in 2012, the patients can still defecate after being treated, 3 times per day, and the defecate is formed after being treated, dry mouth, red tongue with thin coating and thready and rapid pulse. The administration was continued for 2 weeks.

Three diagnoses: 6/15/2012, the condition was still clear, and the renal function was examined: creatinine 271 μmmol/L, difficult urination, mild urine, dry eyes, convenient food intake, 1 time/day of defecation, white and normal defecation, easy constipation at night, thin tongue coating, and thready pulse. The administration was continued for 2 weeks.

Four diagnosis: in 2012, day 6 and day 29, the condition is good, herpes is frequently produced in the lip part close to the mouth, pain is slight, the disease is not severe, frequent urination is caused, the stool is taken 2 times, the tongue coating is thin and the pulse is thin, and BP: 150/90 mmHg. The first 14 doses are continued.

Five diagnoses: day 7 and 13 in 2012, the condition after the medicine is good, 1 time after the medicine is taken, more urine, less tongue coating and red, and the pulse is thin, BP: 120/80 mmHg. The disease condition is well controlled. The first 14 doses.

Six diagnoses: 7/27 days 2012, the condition is good after the medicine is taken, 1 time of defecation is taken, and 122 mu mol/L of serum creatinine is rechecked.

Example 4

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure of the embodiment is prepared from the following raw materials in parts by weight: 6 parts of prepared rhubarb, 20 parts of caragana sinica rehd, 40 parts of centella asiatica, 10 parts of curcuma zedoary, 30 parts of salvia miltiorrhiza, 20 parts of glabrous greenbrier rhizome, 10 parts of safflower, 25 parts of giant knotweed, 40 parts of pyrola, 25 parts of lucid ganoderma, 38 parts of astragalus mongholicus and 6 parts of fructus aurantii.

Zhangiao, female, age 32. Initial diagnosis date: 12 days 1 month in 2018

The current medical history: after 7 years of chronic nephritis of a patient, the conventional prompt of proteinuria floats at plus minus 3+, 3-7 erythrocytes/HP in urine aggravates during fatigue, the quantity of urine protein is 1-3 g in 24 hours, renal function is not abnormal, blood pressure is measured for many times at about 135/80mmHg, and the patient takes nephritis rehabilitation tablets and tripterygium glycosides tablets for treatment, at present, waist soreness exists, stomach pain can be relieved, stool is regulated, menstruation is normal, two lower limbs are not swollen, teeth marks exist on thin and white edges of the tongue, fur is slightly yellow and greasy, and pulse is wiry and fine.

Traditional Chinese medicine syndrome differentiation: spleen-kidney deficiency leading to internal retention of damp-heat

Therapeutic method: invigorating spleen and kidney, clearing heat and promoting diuresis

And B, diagnosis: 26 months and 1 month in 2018, the quantity of the urine protein is 0.8g after 24 hours of reexamination, the waist soreness is better than before, and the original prescription is continued.

Three diagnoses: in 2018, 2 and 9 months, the patient has slight fever and pharyngeal discomfort after catching a cold, no fever, slight sore throat and unobvious waist soreness after taking the cold medicine orally, and the quantity of the urine protein is 1.2g after 24 hours, and then the patient uses the medicine before.

Four diagnosis: in 2018, 16 months 2, the patient has no sore throat, but the general condition is right, and the quantity of the urine protein is 0.45g after 24 hours, and then the patient uses the medicine.

The patient then continued to take the drug, with the urine protein quantification remaining below 0.5g for 24h following the visit, followed by treatment with the former.

Example 5

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure of the embodiment is prepared from the following raw materials in parts by weight: 15 parts of prepared rhubarb, 40 parts of caragana sinica rehd, 20 parts of centella asiatica, 20 parts of curcuma zedoary, 35 parts of salvia miltiorrhiza, 40 parts of glabrous greenbrier rhizome, 2 parts of safflower, 35 parts of giant knotweed, 20 parts of pyrola, 35 parts of lucid ganoderma, 20 parts of astragalus mongholicus and 15 parts of fructus aurantii.

Cai, male, age 22, date of first visit: year 2018, month 2 and day 16.

The current medical history: the patient finds that the foam urine is more than 4 months, denies naked eye hematuria, does not have nocturia, does not have eyelid and edema of both lower limbs, sometimes has waist soreness, and is in favor of the routine prompt of the hospital urine: urinary protein +, erythrocytes 5-7/HP, with renal puncture suggested: focal segmental glomerulosclerosis with IgA deposition followed by a history of pharyngeal discomfort. At present, the patients have more foams in urine, and have soreness of waist and frequent urination and defecation. A thin and white coating, a pale tongue with red tips and a slippery and rapid pulse.

Traditional Chinese medicine syndrome differentiation: deficiency of liver-yin and kidney-yin

Therapeutic principle: tonifying kidney, cooling blood and promoting blood circulation

And B, diagnosis: 3, 3 and 2 days in 2018, the foam in the urine disappears, and the urine routine is rechecked: protein negative, red blood cell 3-4/HP, tongue pulse as before. Used successively.

Three diagnoses: 3, month 16 in 2018, after fatigue, protein appears in urine again, and the urine routine is rechecked: protein +, erythrocyte 4-6/HP, red tongue, thin and greasy coating, and thready pulse. Proceeding with the original prescription.

Four diagnosis: 3, 30 months and 2018, the urine is negative in routine check, and no special discomfort exists.

Example 6

The traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure of the embodiment is prepared from the following raw materials in parts by weight: 7 parts of prepared rhubarb, 22 parts of caragana sinica rehd, 23 parts of centella asiatica, 11 parts of curcuma zedoary, 33 parts of salvia miltiorrhiza, 22 parts of glabrous greenbrier rhizome, 3 parts of safflower, 26 parts of giant knotweed, 24 parts of pyrola, 33 parts of lucid ganoderma, 36 parts of astragalus and 13 parts of bitter orange.

Lu-Yi, male, age 64, initial diagnosis date: year 2018, 3 month 2 day.

The current medical history: the patient has more than twenty years of diabetes history, and the treatment with medicines such as Jiangtangning and the like is performed by oral administration, the blood sugar control is not good enough, and the treatment with insulin is changed before five years. The patient has foams in urine three years ago, and denies naked eye hematuria and nocturia sometimes, the urine routine of the regional hospital prompts that urine protein fluctuates between + and 2+, the renal function is normal, and the curative effect is not obvious after the oral nephritis rehabilitation tablet is used for treating. At present, the patient feels hypodynamia and soreness of waist, has no obvious dry mouth and polydipsia, can accept the stomach well, has a slightly large urine volume, defecates one after another in three days, has no swelling of the two lower limbs, is not easy to be obvious in percussion pain in the kidney area, has a pale tongue with red edges and tips, has sublingual vein stasis and flexure, has little fur and has a thready and unsmooth pulse.

Traditional Chinese medicine syndrome differentiation: spleen and kidney deficiency, stagnant heat obstructing the interior.

Therapeutic principle: invigorate spleen, tonify kidney, activate blood and clear heat.

And B, diagnosis: in 2018, 3, 16 months and before symptoms, the foam is still too much, and the fatigue is obvious. The front is continued for 2 weeks.

Three diagnoses: in 2018, 3 months and 30 days, the foam in urine disappears, the fatigue is improved, no waist soreness exists, and the urine routine prompts: urinary protein-. Go forward for another 2 weeks.

Half a year later follow-up without discomfort.

Example 7

120 cases of patients with chronic kidney diseases and chronic renal failure are selected to carry out clinical tests on the treatment efficacy and safety of the medicine.

The evaluation standard of the curative effect refers to the evaluation method of the curative effect in the guidelines (trial) of clinical research on new Chinese medicines, and establishes the specific evaluation standard for treating chronic kidney diseases and chronic renal failure:

and (3) clinical control: clinical symptoms completely disappear, and main physicochemical inspection indexes (blood creatinine, urea nitrogen and 24h urine protein quantitative level) are recovered to be normal.

The effect is shown: the main clinical symptoms disappear, and the main physical and chemical inspection indexes (blood creatinine, urea nitrogen and 24h urine protein quantitative level) are obviously improved.

The method has the following advantages: the main clinical symptoms basically disappear, and the main physicochemical indexes (blood creatinine, urea nitrogen and 24h urine protein quantitative level) are improved to a certain extent.

And (4) invalidation: compared with before-treatment, the medicine has no improvement in all aspects.

The disease is divided into 60 cases in the experimental group and 60 cases in the control group randomly, and the age, the disease condition and the disease course of the two groups of cases are not greatly different and are comparable. The decoction prepared from the traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure is taken by experimental groups, the dosage ratio of the traditional Chinese medicine composition to water is 1g to 5mL, one dose is taken every day, and the decoction is taken twice in the morning and at night. The control group takes traditional Chinese medicine uremia clearance granules (the main components are rhubarb, astragalus, white mulberry root-bark, radix codonopsitis, white atractylodes rhizome, tuckahoe, prepared fleece-flower root, white peony root, salvia miltiorrhiza and plantain) for 8 weeks, and then compares the renal function, urine protein and safety indexes of the patients before and after treatment.

The total effective rate of the experimental group reaches 93.3 percent, the total effective rate of the control group reaches 58.3 percent (Table 1), and the safety indexes of the blood routine, the liver function, the electrolyte, the cardiac function and the electrocardiogram of the patients after the treatment of the experimental group have no obvious change compared with the safety indexes before the treatment, and the safety is better.

TABLE 1 comparison of therapeutic effects of chronic renal disease and chronic renal failure patients

In conclusion, the traditional Chinese medicine composition for treating the chronic kidney disease and the chronic renal failure can fundamentally treat the chronic kidney disease and the chronic renal failure, has high cure rate and no side effect, and finds that the disease condition after being treated by the traditional Chinese medicine composition for treating the chronic kidney disease and the chronic renal failure is not recurrent and the renal function is stable by follow-up of patients for years.

The above description is only for the preferred embodiment of the present invention, and is not intended to limit the present invention in any way. Any simple modification, change and equivalent changes of the above embodiments according to the technical essence of the invention are still within the protection scope of the technical solution of the invention.

Claims

1. A traditional Chinese medicine composition for treating chronic kidney diseases and chronic renal failure is characterized by comprising the following raw materials in parts by weight: prepared rhubarb 6-15 parts, caragana sinica root 20-40 parts, centella 20-40 parts, zedoary 10-20 parts, root of red rooted saliva 30-35 parts, poria cocos wolf 20-40 parts, safflower 2-10 parts, giant knotweed rhizome 25-35 parts, pyrola 20-40 parts, glossy ganoderma 25-35 parts, astragalus root 20-38 parts and bitter orange 6-15 parts.

2. The traditional Chinese medicine composition for treating chronic kidney disease and chronic renal failure according to claim 1, which is prepared from the following raw materials in parts by weight: 10 parts of prepared rhubarb, 30 parts of sparrow root, 30 parts of centella, 15 parts of zedoary, 30 parts of salvia miltiorrhiza, 30 parts of glabrous greenbrier rhizome, 6 parts of safflower, 30 parts of giant knotweed, 30 parts of pyrola, 30 parts of lucid ganoderma, 30 parts of astragalus and 10 parts of bitter orange.